Shani Thomas

Primary specialty

PharmacistTaxonomy code 183500000X

License

067199 Issued in NY

Practice address

4331 Nesconset Hwy
Port Jefferson Station, NY 11776-2250

Phone

(631) 642-3019

NPI assigned

Oct 27, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CVS Albany LLC

  • Pharmacy
  • Port Jefferson Station, NY
  • NPI 1629172481
  NPD (past)
• CVS Albany LLC

  • Pharmacy
  • Brooklyn, RI
  • NPI 1679459481
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1154921310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 BREGMAN AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402066",
            "telephone_number": "516-974-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4331 NESCONSET HWY",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762250",
            "telephone_number": "631-642-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SHANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "067199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Family Tree Psychiatric & Medical Services
• The Way of Acupuncture P.C.
• Theodore Randolph,DPM
• Anthony C Theodoris, M.D.
• Thomas P. Erhart DO PC
• Lori Thompson, LMHC; NCC
• Lynnette Thompson, LPN
• Kayla Thorsen, OTR/L
• Three Village Neurology, P.C.
• Barbara Tierno

• Pharmacist in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.